VERIDIA
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Delivery docket
SO-26-02272
Veridia Australia Pty Ltd
ABN 63 004 217 508
42–46 Mitchell Hwy, Molong NSW 2866
(02) 6366 8100 · we.care@veridia.com.au
Deliver to
Forbes Aged Care
Forbes Aged Care
Forbes NSW 2871
Attn: Lisa Mahony
Account
FOR02
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Thu 23 Jul
Not yet allocated to a run
Dangerous goods — Class 8
Segregate per the ADG Code. Safety data sheets for every hazardous line are attached to this docket. Driver must hold a current dangerous goods certificate.
| Item code | Description | Pack | Qty | Unit | Amount |
|---|---|---|---|---|---|
| HP-3060 | Isolation Gown Level 2 Blue Universal | 10 x 10 | 11 | $130.40 | $1,434.40 |
| FP-4060 | Cutlery Knife PP White Heavy | 20 x 100 | 14 | $49.10 | $687.40 |
| HP-3084 | Shoe Cover Blue Non-Slip | 10 x 100 | 5 | $54.20 | $271.00 |
| BD-6012 | Tumbler Tempered 425ml | 1 x 48 | 8 | $139.90 | $1,119.20 |
| CH-2216 | Bathroom Cleaner Acidic 5L [DG 8 UN1805] | 2 x 5L | 15 | $51.90 | $778.50 |
| BD-6040 | Melamine Bowl Scoop Aged Care | 1 x 12 | 2 | $150.90 | $301.80 |
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 9 | $77.10 | $693.90 |
| Goods ex GST | $5,286.20 |
| GST 10% | $528.62 |
| Total inc GST | $5,814.82 |
64
2
614 kg
Received in good order by
Print name
Signature
Date & time
Date
Any shortages or damage noted here
Safety data sheet summary
Attached to SO-26-02272 for Forbes Aged Care. Full sheets travel with the consignment and are held on the site chemical register. Reviewed at least every five years under WHS Regulation 344.
| Item | Product | Sheet | Issued | Review due | Status |
|---|---|---|---|---|---|
| CH-2216 | Bathroom Cleaner Acidic 5L Corrosive | SDS-CH-2216-R2 | 28 Aug 2021 | 28 Aug 2026 | Expiring |
| CH-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | Current |
Poisons Information Centre 13 11 26. Emergency (Veridia, 24 hours) 1300 228 222.
Veridia Australia Pty Ltd · ABN 63 004 217 508 · 14 Gateway Cres, Wacol QLD 4076 · 1300 228 222 · veridia.com.au
Goods remain the property of Veridia Australia Pty Ltd until paid in full. Claims for shortage or damage must be noted on
this docket at the time of delivery.